| NPI | 1013738756 |
|---|---|
| Doing Business As | KERRY OJEDA |
| Entity Type | Organization |
| Authorized Contact | KERRY OJEDA Owner 516-238-0726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |